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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2010, Number 4

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Rev Mex Urol 2010; 70 (4)

Tension-free transobturator vaginal tape for stress urinary incontinence correction: a report at 2-year follow-up

De León-Jaén SC, Sierra-Mendoza JM, Vásquez-Delgado LR, Cortes-Gudiño FJ, Martínez-Castro MA, Orozco-Bravo Á, Reynaga-González F
Full text How to cite this article

Language: Spanish
References: 11
Page: 215-218
PDF size: 3531.88 Kb.


Key words:

Transobturator tape, urinary incontinence.

ABSTRACT

Introduction: The present study carries out correlation and follow-up of patients with urinary incontinence treated with tension-free transobturator vaginal tape for stress urinary incontinence in the department of urology at the Hospital Ángel Leaño.
Objective: To report the experience at two years after stress urinary incontinence treatment with placement of tension-free transobturator vaginal tape.
Methods: A total of 43 patients presenting with stress urinary incontinence, with or without pelvic floor defects, were treated with placement of polypropylene tape through transobturator approach with follow-up at one, three, six and twelve months for two years.
Results: All patients had good progression and were continent. In regard to complications, there was tape extrusion in 2 patients, de novo urgency in 11 patients, incontinence recurrence in 1 patient, and bleeding in 2 patients. Surgery duration was from 7-17 minutes.
Conclusions: The use of transobturator tape for urinary incontinence correction is a rapid, effective and safe technique with a low complication rate, making it an attractive treatment option.


REFERENCES

  1. Costa P, Grise P, Droupy S, Monneins F. Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (T.O.T.) Uratape: short term results of a prospective multicentric study. Eur Urol 2004;46(1):102-6.

  2. Krauth JS, Rasoamiaramanana H, Barletta H Sub-urethral tape treatment of female urinary incontinence--morbidity assessment of the trans-obturator route and a new tape (I-STOP): a multicentre experiment involving 604 cases. Eur Urol 2005;47(1):102- 6.

  3. P Palma, P Fraga. Sling trans obturator adjustment a promising route in female urinary Incontinence treatment. Urology Contemporary. Brazilian Urologic Society 2002;4(2):146-48.

  4. Rafii A, Paoletti X, Haab F. Tension free vaginal tape and Associated Procedeures: A Case Control Study. Eur Urol 2004;45(3):356-61.

  5. Brink DM Bowel injury following insertion of tension-free vaginal tape S Afr Med J 2000;90(5):450- 2.

  6. Peyrat L, Boutin JM, Bruyere F Intestinal perforation as a complication of tension-free vaginal tape procedure for urinary incontinence Eur Urol 2001;39(5):603-5.

  7. Delorme E, Droupy S, de Tayrac R Transobturator tape (Uratape). A new minimally invasive method in the treatment of urinary incontinence in women Prog Urol 2003;13(4):656-9.

  8. de Leval J. Novel Surgical technique for the treatment of female. Stress Urinary Incontinence: transobturator vaginal tape inside-out. Eur Urol 2003;44(6):724-30.

  9. DeLancey JO. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 1994;170(6):1713-20.

  10. Delmas V. Ttransobturator tape perineal hammock. Eur. Urol. 2004:3(4):226.

  11. Ruiz L, Cicco A, Yior, Vordos D, De la Taille A. Transobturator sling procedure for urinary stress incontinence. Eur Urol 2004; 4:226.




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Rev Mex Urol. 2010;70